Information Collection

Multi-Language Insert

IC 251079 under ICR 202404-0938-004 · OMB 0938-1421.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MLI for Interpreter Services (2002 version 3).pdf	Other-Multi-Language Insert (MLI)
MLI for Interpreter Services (2002 version 3).pdf	Other-Multi-Language Insert (MLI)

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Multi-Language Insert (MLI)					Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 916

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-20,800,000	20,800,000
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	-312,000	312,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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